以循证理论为基础的疼痛护理在肾结石手术患者中的应用效果  

Application Effect of Pain Nursing Based on Evidence-Based Theory in Patients Undergoing Kidney Stone Surgery

作　　者：曹春艳 黄翩翩 Cao Chunyan;Huang Pianpian(Urology Surgery Department,Nanjing BenQ Medical Center,Nanjing 210000,Jiangsu Province,China)

机构地区：[1]南京明基医院泌尿外科,江苏南京210000

出　　处：《中国社区医师》2025年第8期144-146,共3页Chinese Community Doctors

摘　　要：目的:探讨以循证理论为基础的疼痛护理在肾结石手术患者中的应用效果。方法:选取2022年9月—2023年9月于南京明基医院行手术治疗的肾结石患者100例作为观察对象,采用随机数字表法分组。对照组(50例)采用常规护理,观察组(50例)在对照组基础上实施以循证理论为基础的疼痛护理。对比两组术后恢复情况、疼痛程度、睡眠质量。结果:与对照组相比,观察组饮食恢复时间、首次排气时间、首次下床活动时间更早,住院时间更短(P<0.05)。护理前,两组数字评分法(NRS)评分比较,差异无统计学意义(P>0.05);护理后,两组NRS评分降低,且与对照组相比,观察组评分较低(P<0.05)。护理前,两组匹兹堡睡眠质量指数(PSQI)评分比较,差异无统计学意义(P>0.05);护理后,两组PSQI评分降低,且与对照组相比,观察组评分较低(P<0.05)。结论:以循证理论为基础的疼痛护理在肾结石手术患者中的应用效果显著,可以减轻患者疼痛程度,改善其睡眠质量,促进患者康复。Objective:To explore the application effect of pain nursing based on evidence-based theory in patients undergoing kidney stone surgery.Methods:A total of 100 patients with kidney stones who underwent surgical treatment at Nanjing BenQ Medical Center from September 2022 to September 2023 were selected as the observation objects.They were divided into groups using random number table method.The control group(50 patients)received routine nursing care and the observation group(50 patients)received pain nursing care based on evidence-based theory on the basis of control group.The postoperative recovery,pain level and sleep quality of the two groups were compared.Results:Compared with the control group,the observation group had earlier dietary recovery time,first exhaust time,first ambulation time,and shorter hospital stay(P<0.05).Before nursing,there was no statistically significant difference in the scores of Numeric Rating Scale(NRS)between the two groups(P>0.05).After nursing,the NRS scores in the two groups decreased,and the scores in the observation group were lower than those in the control group(P<0.05).Before nursing,there was no statistically significant difference in the scores of Pittsburgh Sleep Quality Index(PSQI)between the two groups(P>0.05).After nursing,the PSQI scores in the two groups decreased,and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of pain nursing based on evidence-based theory in patients undergoing kidney stone surgery has a significant effect,which can relieve the pain level,improve the sleep quality and promote the recovery of patients.

关 键 词：肾结石 手术 循证理论 疼痛护理 

分 类 号：R473[医药卫生—护理学]